Safe prescribing. Be clear about the reasons for prescribing.

  • Safe prescribing Jun 14, 2023 · General practice professionals should take steps to ensure that safe prescribing procedures are in place and that patients are fully informed about the medicines they are being prescribed. Jan 6, 2019 · The aim of this article is to discuss the professional issues and complex factors that can contribute to prescribing errors. Balanced prescribing is a process that recommends a medicine appropriate to the patient's condition and, within the limits created by the uncertainty that attends therapeutic decisions, a dosage regimen that optimizes the balance of benefit to harm. © OCB Media 2025. We partner with organisations across the globe, working collabo Bad prescribing habits lead to ineffective and unsafe treatment, exacerbation or prolongation of illness, distress and harm to the patient, and higher costs. But what is safe prescribing exactly? A search of Pubmed using the term ‘ “safe prescribing”[all fields]’ yields only 36 hits, and none explicitly defines the term. Collectively, this review succinctly highlights pertinent topics related to promoting safe use of medications and promotes awareness of optimizing older adults’ medication regimens. This course is an essential tool for healthcare providers committed to upholding the highest standards of medication management. The guidelines were developed by California emergency physicians and have been endorsed by numerous statewide medical organizations. MD and DO clinicians can prescribe medications, including controlled substances. minimise risk to patients by using processes that support safe prescribing in areas of high risk (competency 7. Oct 30, 2018 · The allied health prescribing training program was designed to align with national standards for prescribing and competencies for safe prescribing. 1-3 NPS MedicineWise has recently launched a framework which can be used to guide education curricula, assessment, continuing professional development and credentialing of individual practitioners. Prescribing is the most common healthcare intervention . Safe Prescribing This webpage brings together all our information and guidance on safe prescribing. If your organization endorses the attached safe prescribing guidelines, we ask that you contact our office to provide your logo and we will add it to the document. The ongoing work to extend and expand scope of practice for allied health professionals means many health professionals Good prescribing practice Good prescribing practice requires that a doctor’s customary prescribing conforms within reason to patterns established by the doctor’s peers in similar practice. Explore the parameters of safe and appropriate opiate prescribing, delve into strategies to prevent drug diversion and misuse, and critically analyze the CDC guidelines and treatment options for substance use disorders. Dec 16, 2022 · Help for medical providers to determine when and how to prescribe opioids safely and responsibly. To explore the expired/unaccredited modules to enrich clinical best practices (Medscape) This is the general version of the course: Influenza Vaccination and Guidelines for Safe Prescribing R474B No pharmacology credits will be earned. INTRODUCTION Clinics and private practitioners have adopted consistent policies that outline evidence-based practices relating to opioid prescribing. 1 The majority of these errors occur at time of admission 2 and therefore establishment of safe prescribing practices in the acute medicine unit (AMU) is fundamental to maintaining A major focus of the East Bay Safe Prescribing Coalition has been to promote safe prescribing guidelines safe in hospital emergency departments and urgent care settings. 4). It will review the need for a focus on pharmacovigilance and human factors in order to reduce the risk of errors and develop safe prescribing practices in newly qualified non-medical prescribers. 10 Although rarely a priority in postgraduate curriculums, safe and Dec 15, 2020 · Pharmacotherapy is the most common therapeutic intervention in healthcare to improve health outcomes of patients. Determine expected findings and the treatment of acute opioid toxicity. On graduating from medical school, students are presumed to have acquired the necessary pharmacology knowledge underpinning the therapeutics and developed their personal skills and behaviors in order to write a safe and effective prescription (The Four Ps). We evaluated an intervention for increasing safe prescribing by medical students. Prescribing of any drug in children requires very careful consideration of age, weight, and pharmacologic aspects of the drug in question. Safe Opioid Prescribing. 5–25 mg orally every 4–6 hours. underprescribing, overprescribing, misprescribing or me East Bay Safe Prescribing Coalition Guidelines. The following provides an overview of the requirements for the safe prescribing of controlled substances. Mar 3, 2023 · Due to the clinical uncertainty around safe prescribing following COVID‐19 infection, the UKCCP has launched the COVID‐19 Safe Prescribing of Oncological Treatment (COV‐SPOT) initiative to provide definitive evidence to guide clinical decisions for COVID‐19‐positive patients undergoing anticancer treatment. Safe Prescribing is an elearning course developed to support doctors throughout their Foundation training to become expert prescribers. Getting started Receive modules specific for you by signing up with your role and organisation or simply login if you already have an account. Purpose The objective of this study was to evaluate the prevalence of potential drug-drug interactions (DDIs) in hospitalised patients in correlation with patient's age and number of drugs prescribed and to determine the prevalence of inappropriate drugs prescribed to elderly patients. This method of drug selection is a good model for helping students to develop rational prescribing and problem-solving processes that can serve them lifelong. The organisational and human errors leading to poor prescribing (e. 1 In England, there are an Sep 21, 2016 · “This multi-professional competency framework is a key document that highlights that prescribing is an important professional function, and that all professionals who prescribe are expected to deliver safe and effective prescribing interventions… [A]ll physiotherapists should use [the framework] when assessing their competency to prescribe. Anticholinergic drugs should be avoided in dementia wherever possible. However, there are many instances where prescribed medications resulted in patient morbidity and mortality instead. Supplemental Materials: Public Service Announcement on AB 149 Requirements; AB 149 Podcast: Changes to Prescription Forms on the Horizon; Prescribers of controlled substances should be aware of these two upcoming requirements in state law. [4] Feb 4, 2024 · The Phase 5 Stimulant Safety Initiative is a subphase of PDSI focused on stimulant prescribing with the overall objective to ensure appropriate treatment of stimulant use disorder as well as safe and appropriate prescribing of stimulant medications through review of diagnoses, medical monitoring, and coprescriptions. Registrants must exercise caution in prescribing opioid and sedative medications with muscle relaxants, sedating antidepressants, anticonvulsants, antipsychotics and other sedating medications. With the introduction of e-prescribing and electronic medical records (EMR), it is important that physicians don’t take a step backward in the evolution of prescription forms by going back to white paper. It is delivered by experienced clinicians in General Practice, including NHS GPs and medical To enhance uptake and cross-disciplinary consistency of safe prescribing approaches, clinician education regarding opioid misuse and benefits of safe prescribing practices, and addressing procedural barriers are necessary. Two 1-hr, small-group, interactive educational sessions for 3rd-year medical students were held 2 weeks apart at Washington Sep 17, 2022 · Medication errors occur when weak medication systems and/or human factors such as fatigue, poor environmental conditions or staff shortages affect prescribing, transcribing, dispensing, administration and monitoring practices, which can then result in severe harm, disability and even death. All rights reserved. Bumps (Best Use of Medicines in Pregnancy) has been designed to provide freely available, reliable, evidenced-based and accurate information about the use of medicines in pregnancy. In this article, we examine the common errors in prescribing medications and analyze the steps clinicians can take to develop and maintain good prescribing habits. Research shows patients don’t always know the potential risks of double dosing on medicine. Safe prescribing is crucial, as it directly affects patient safety. Where evidence exists, we provide guidance as to the safest drugs to prescribe in particular clinical situations. It is essential to patient safety that a medically trained clinician, like a psychiatrist, prescribes and manages mental health medications. For more information and cautions regarding signage and distribution of the safe prescribing handouts, please read our safe prescribing Frequently Asked Questions. geneesmiddelenbijlevercirrose. Effective pain management is important in older patients, but caution should be used when selecting an opioid analg … In the United States, the prevalence and burden of chronic pain is large and still growing. Medication errors can happen at any step of the medication use process, but a substantial burden of medication-related harm is focused primarily on three priority May 1, 2011 · Safe prescribing. Feinberg School of Medicine -, Opioids: Pain, Safe Prescribing, and Addiction - Opioid Problems: Epidemiology, 9/1/2022 9:00:00 AM - 9/1/2025 9:00:00 AM, Through a series of short online learning modules, healthcare professionals across the continuum of education with develop new strategies for safe opioid prescribing practices. 7) 5 of 5 c. 1. In 2022, the CDC updated the 2016 guidelines to help prescribers navigate prescribing opioids amid an epidemic. The steps outlined below are based on the College professional standard Safe Prescribing of Opioids and Sedatives. It is a complex task that every junior doctor will undertake. View the coalition’s Prescribing Guidelines here. Clozapine: safe prescribing. This course offers the APRN a broad overview of how to safely prescribe opioids and the associated elements of managing patients with pain. If everyone is to become a safe Safe and appropriate prescribing is a practical skill that should be taught and assessed using techniques based on models like the WHO Guide to Good Prescribing. Identify behaviors that suggest drug diversion or drug-seeking and appropriate responses. Sep 25, 2024 · Uncover the critical facets of opiate use and safe prescribing practices in this advanced course designed for healthcare professionals. The College Jun 28, 2012 · The challenge to achieve safe prescribing merits the adjective ‘titanic’. We have subsequently worked closely with the Royal College of General Practitioners (RCGP) and the NIHR Greater The challenge to achieve safe prescribing merits the adjective 'titanic'. Children are particularly susceptible to adverse drug reactions and dosing errors, and this is compounded by the lack of paediatric labelling details for many common prescription drugs. Roles of State and Federal Agencies, Health Systems, and Payers in Supporting Safe Opioid Prescribing 3 U. Does the mode of consultation meet the individual needs of the patient and support safe care? Do you have enough information about the patient to prescribe a treatment that meets their needs? Mar 30, 2014 · IMPROVING GP EDUCATION AND TRAINING IN THE RAPEUTICS AND SAFE PRESCRIBING. The content reflects the core curriculum for principles of safe prescribing. In addition, physicians can prescribe Nov 13, 2023 · Next year will be the 10th anniversary of the UK-based Prescribing Safety Assessment, a mandatory component of most medical school and foundation training programmes designed to ensure that doctors meet the prescribing competencies outlined by the General Medical Council. Feb 1, 2023 · Explore the parameters of safe and appropriate opiate prescribing, delve into strategies to prevent drug diversion and misuse, and critically analyze the CDC guidelines and treatment options for substance use disorders. Jun 28, 2012 · The challenge to achieve safe prescribing merits the adjective ‘titanic’. Overview Of Safe Prescribing Assessment Guidelines. Pharmacists ensure that patients not only get the correct medication and dosing, but that they have the guidance they need to use the medication safely and effectively. Some imply that safe prescribing is the avoidance of medication errors [1, 2] or adverse drug reactions , but there is more to it than that. doi: 10. Health professionals are trained to prescribe pain medications; unfortunately, controlled substances are commonly misused. Establish an accurate diagnosis whenever possible (although this may often be difficult) SCRIPT is an eLearning programme to improve safety and competency among healthcare professionals around prescribing, therapeutics and medicines management. The high quality, online learning content, aligned to the core curriculum for principles of safe prescribing, raises awareness of aspects of prescribing which are prone to error, and gives doctors the essential information about how to write safe prescriptions. Privacy Policy | Terms & Conditions | Support. We have subsequently worked closely with the Royal College of General Practitioners (RCGP) and the NIHR Greater IMPROVING GP EDUCATION AND TRAINING IN THE RAPEUTICS AND SAFE PRESCRIBING. 4 Our paper adds to this body of work. Help your patients understand whether OTC medications for pain are right for them and, if so, how to use them safely. Accountability covers four distinct areas: Prescribers are called to account for their practice and in order to practice safely they must have: Consider the steps your practice could take to eliminate these risks and set a higher standard for safe prescribing. Oct 29, 2020 · Prescribing in patients with cirrhosis is complex, which we illustrate by 5 common pitfalls. 2014 May;64(622):259-61. International training programs, for nonmedical prescribing, were examined to inform the program development. It has developed over the years since the Cumberledge report in 1986 recommended non-medical prescribing from a limited list for community-based nurses (Department of Health and Social Security, 1986; Cope et al, 2016). Prescribers and pharmacists can refer to these Frequently Asked Questions (FAQs) to learn more about the updated pain management regulatory requirements. Methods: We conducted a pre-post evaluation to evaluate a brief educational intervention to increase safe prescribing by medical students. This course assists the APRN in fulfilling pharmacology CE requirements for licensure. Content was delivered by experienced prescribers from a range of professions. Accountability. Does the mode of consultation meet the individual needs of the patient and support safe care? Do you have enough information about the patient to prescribe a treatment that meets their needs? Apr 5, 2021 · This guidance will help you make sure that you practise safe prescribing. About the Safe Prescribing programme. Since this time, a number of fatalities, along with new research, has reiterated the need for close monitoring of patients treated with this high-risk medicine. Chan School of Medicine, the Tan Chingfen Graduate School of Nursing, and UMass Chan Jan 1, 2021 · Prescribing and Reporting Rules for Controlled Substances Coming. Globally, it has been estimated that the cost associated with medication errors is US$42 billion each year. Help parents understand the correct dosing for OTC medications for children and how to safely keep medications away from children. These challenges include cognitive bias, underdeveloped safety culture, and differing expectations of responsibilities of the other party in ensuring safe prescribing. Comprehensive and coordinated care is critical to avoid fragmented care and poor transfer of prescribing information. Supporting Improvement in Safe Prescribing Worldwide BPS Assessment is the learning and assessment arm of the British Pharmacological Society, whose mission is to improve prescribing skills among medical and non-medical prescribers. Does the mode of consultation meet the individual needs of the patient and support safe care? Do you have enough information about the patient to prescribe a treatment that meets their needs? Research into practice: safe prescribing. Consequently, older people have a high prevalence of medication use and medication-related harm. May 6, 2024 · The 2022 Clinical Practice Guideline for Prescribing Opioids for Pain (2022 Clinical Practice Guideline) is based on systematic reviews of the scientific evidence, considering benefits and harms, values and preferences, and resource allocation. No image. Welcome to Bumps. Always ask if the patient is allergic to any drugs; if this is not already documented, write it down The 12 components of the CDC’s recent guidelines for opioid prescribing. Jul 1, 2019 · Health-care services around the world continue to struggle with safe and effective delivery of medication. The 2016 CDC Opioid Prescribing Guideline was based on a systematic clinical evidence review sponsored by AHRQ on the effectiveness and risks of long-term opioid therapy for chronic pain (47,97), a CDC update to the AHRQ-sponsored review, and additional contextual questions (56,98). g. Jan 29, 2023 · Apply general guidelines for safe prescribing practices. Prescribing is a characteristic role of a medical practitioner. All prescribers should: 1. This program highlights the importance of the drug's pharmacokinetic profile, including absorption, distribution, elimination, drug bioavailability, biotransformation, T ½, clearance, steady state, Tmax, and AUC, on the selection of a medication. Chronic pain is common, multidimensional, and individualized, and treatment can be For over 30 years, ISMP has been a global leader in patient safety. Lastly, a whole systems approach is crucial to ensure that all prescribers are supported (and not overwhelmed) when making safe, effective and timely prescribing decisions. Department of Health and Human Services (HHS) Support for Safe Prescribing Initiatives 3 State Policy and Regulatory Support for Safe Prescribing Initiatives 3 Healthcare Delivery System Support for Safe Prescribing Initiatives 4 Safe Prescribing Across the nation, health care providers are facing a serious dilemma: how to prescribe controlled substances safely and effectively to relieve pain, while simultaneously reducing the risk of prescription medication misuse, addiction, and overdose. H. I want to learn more about SafeScript NSW, and how and when prescribers and pharmacists will use it Bad prescribing habits lead to ineffective and unsafe treatment, exacerbation or prolongation of illness, distress and harm to the patient, and higher costs. It is also Nov 3, 2022 · These clinical recommendations, published in the CDC Clinical Practice Guideline for Prescribing Opioids for Pain, will help clinicians work with their patients to ensure the safest and most effective pain care is provided. We aim to help facilitate safer prescribing and dispensing of antibiotics. One of the recommendations from our PRACtICe study 1, 2 was to identify ways of improving GP education and training in therapeutics and safe prescribing. This training goes beyond theory, with practical case scenarios to prepare you for real-world challenges in treating pain and preventing drug misuse. It is therefore imperative to review the evidence on what constitutes safe prescribing to reduce rates of self-poisoning from any medication that could potentially cause harm through overdose. The article will also highlight the professional elements that require The Opioid and Pain Management: Guidelines, Research and Treatments CME is an online course designed for medical professionals who would benefit from a better understanding of pain management and patient opioid use, including Anesthesiology, Critical Care Medicine, Emergency Medicine, Family Medicine, Internal Medicine, Obstetrics and Gynecology, Pain Medicine, Pediatrics, and Surgery. Updated Prescription Pad Security For over 30 years, ISMP has been a global leader in patient safety. Both the latter medications appeared safe in the Collaborative Perinatal Project . APRN Pharmacology Today: Safe Prescribing of Opioids will cover the following information: Module 1: Opioid Overuse Pharmacoepidemiology and Drug Safety, 2008. Prescribing errors account for one-in-five medication errors in England, leading to 1,081 deaths. Aug 6, 2024 · Understand the importance of multidisciplinary team decision-making and safe prescribing culture. Oct 11, 2024 · Opioid Overdose: Safe Prescribing Saves Lives Main page content. Jun 3, 2024 · Concurrent prescriptions of opioids or opioids and benzodiazepines places patients at a greater risk of unintentional overdose due to the increased risk of respiratory depression (Dowell, Haegerich, & Chou, 2016 and Dowell, Ragan, Jones, Baldwin, & Chou, 2022). A more detailed discussion follows. May 7, 2024 · The 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain (2022 Clinical Practice Guideline) guides clinicians to work together with patients to make informed, patient-centered decisions about pain care. Inappro priate prescribing (which may include indiscriminate, excessive or reckless prescribing) is unaccepta ble, both clinically and ethically. ” The art of safe prescribing begins with understanding the importance of a medication's pharmacokinetic (PK) and pharmacodynamic profile. Be clear about the reasons for prescribing. The Safe Prescribing Initiative has mirrored the Centers for Disease Control and Prevention’s (CDC’s) Framework for Program Evaluation in Public Health Feb 1, 2023 · Dive into the intricacies of safe prescribing practices, updated CDC guidelines, and the multifaceted approach required by state and federal regulations. 3399/bjgp14X679895. Sep 10, 2005 · Before prescribing. . POWERED BY Feinberg School of Medicine -, Opioids: Pain, Safe Prescribing, and Addiction - Urine Drug Testing, 9/1/2022 9:00:00 AM - 9/1/2025 9:00:00 AM, Through a series of short online learning modules, healthcare professionals across the continuum of education with develop new strategies for safe opioid prescribing practices. Keeping up to date and ensuring safe prescribing 7-18; Deciding if it is safe to propose, prescribe or provide medicines, treatment and devices 19-57. Dec 28, 2024 · This activity presents best practices when prescribing controlled substances for legitimate medical reasons and helps interprofessional healthcare team members understand their roles in safe prescribing and preventing the misuse of these medications. Rhode Island’s regulations for Pain Management, Opioid Use and the Registration of Distributors of Controlled Substances were updated in March 2017 and July 2018. Statement on Safe Prescribing and the use of Opioids in Dental Settings - Minnesota Board of Dentistry Guidance Dose of Reality Initiative – Resources for Providers Fast Tracker - Treatment and Resources for Patients and Caregivers on Substance Use and Mental Health The Safe Prescribing and Quality Use of Medicines Program is designed to develop and support allied health professionals' knowledge, skills, and attributes to competently prescribe medicines within their scope of patient care as members of a multidisciplinary healthcare team. Jan 24, 2025 · Keeping up to date and ensuring safe prescribing 7-18; Deciding if it is safe to propose, prescribe or provide medicines, treatment and devices 19-57. Safe Prescribing Different clinicians play different, important roles in a patient’s care. Apr 5, 2021 · Keeping up to date and ensuring safe prescribing 7-18; Deciding if it is safe to propose, prescribe or provide medicines, treatment and devices 19-57. Safe Prescribing Tool Kit 1 of 3 Safe Prescribing Tool Kit Physicians are expected to implement a number of policies and practices to ensure safe prescribing for chronic non-cancer pain (CNCP). underprescribing, overprescribing, misprescribing or medication errors) have parallels in the organisational and human errors that led to the loss of the Ti … Nov 13, 2023 · Prescriptive authority is the ability of healthcare providers to prescribe specific medications, including controlled substances. Safe and effective prescribing is essential for optimal patient outcomes. Physicians of either Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) designations have the highest degree of prescriptive authority. FormalPara Key Points Multimorbidity increases with age and affects pharmacokinetics and pharmacodynamics. Evidenced based-practice national, local, disease specific, and specialist prescribing guidance should be followed. In 2014, bpac nz published an article on the safer prescribing of clozapine. Safe Prescribing of Opioids and Sedatives May 6, 2022 (Version 4. Also provides guidance on areas such as drugs and driving, security and validity of prescriptions, and PGDs. 1 Patients in low-income countries lose twice as many disability-adjusted life-years due to medication-related harm than those in high-income countries. Safe Prescribing for Pain. The publication updates and replaces the CDC Guideline for Prescribing Opioids for Chronic Pain released in 2016. nl). We would expect all nurse and midwife prescribers to adhere to the RPS competency framework as the standards for safe and effective practice in prescribing in order to ensure patient safety and public protection. The goal of this activity is to describe the prevalence of prescription opioid abuse in the United States and the skills and tools clinicians can use to screen for and prevent abuse in patients with pain. The East Bay Safe Prescribing Coalition is a collaborative effort by the East Bay medical community, consumers and community leaders to promote safe and appropriate prescribing practices and reduce prescription drug abuse in our community. It reminds you that where possible, you must avoid prescribing for yourself or those close to you. S. Prescribing errors can lead to morbidity and possibly mortality. The aim of this review is to identify the key principles of safer prescribing for people who have self-harmed using any method. We recommend that health care professionals who prescribe medicines should do so based on the following ten principles, which underpin safe and effective use of medicines. This commentary explores legal, ethical, and practical considerations for pharmacists and prescribers working together to address uncertainty in drug prescribing. To date, UMass Chan has provided safe-prescribing training (incorporating all 10 competencies) for over 800 medical learners (AAMC: Tackling the Opiate Epidemic Through Educational Innovation and Partnership), including students and faculty from the T. Advanced practice nurses are encouraged to develop a personal formulary by using reliable resources and to use this formulary to write e … Nov 3, 2022 · The 2022 CDC Clinical Practice Guideline, which is intended for clinicians prescribing opioids for adult outpatients with pain — in situations other than those of sickle cell disease, cancer Safe Prescribing Opioids. Keywords: medication-related problems, aged, 80 years and over, deprescription, polypharmacy, inappropriate prescribing. Assess the patient thoroughly, making sure the drug is appropriate and not contraindicated. Older adults (aged ≥65 years) make up a large portion of the population with chronic pain, and their presentation, diagnosis, and treatment tends to be more complicated because of age-related physiological ch … Abstract. Nov 4, 2022 · Clinical Practice Guideline Development Methods Systematic Reviews and Evidence Sources. Be clear about the reasons for prescribing; Take into account the patient’s medication history before prescribing; Take into account other factors that might alter the benefits and harms of treatment; Take into account the patient’s ideas, concerns, and expectations; Select effective, safe, and cost-effective medicines individualized for Sep 23, 2021 · Nurse prescribing has become well established in the UK. They also make the prescriber vulnerable to influences which can cause irrational prescribing, such as patient pressure, bad example of colleagues and high-powered salesmanship. Nurse prescribing is now an integral part of advanced level practice. Research, education, and advocacy are the foundation of everything we do, and our strong collaborative relationships have enabled us to help protect millions of patients. Research into practice: safe prescribing Br J Gen Pract. It goes through what you need to consider when repeat prescribing, prescribing controlled drugs or share the responsibility of your patient with a colleague. Our Coalition has held trainings for prescribers, and instituted a program of academic detailing where experienced local prescribers met one-on-one with other practitioners to discuss safe prescribing practices and other topics of concern. underprescribing, overprescribing, misprescribing or medication errors) have parallels in the organisational and human errors that led to the loss of the Titanic 100 years ago this year. If you would like to take the pharmacology version, click the button below. This one-day online course aims to support international medical graduates that are new to General Practice (GP) postgraduate training with safe prescribing skills to enable confident management of adult and paediatric patients using a wide range of clinical case scenarios and interactive content. Other medications that appear safe include meclizine (Antivert) 20–50 mg orally per day, hydroxyzine (Vistaril, Atarax) 25–100 mg orally three to four times per day, and promethazine (Phenergan) 12. We are the first non-profit organization dedicated to the promotion of safe medication practices. Feb 21, 2020 · Ensuring the safe prescribing and dispensing of medication to patients is a core function of a pharmacist. Read general advice on prescribing including biological and biosimilar medicines, complementary and alternative medicines, and unlicensed medicines. Feb 1, 2013 · With the expansion of prescribing rights to nonmedical prescribers, there is a need for an agreed set of national prescribing competencies for all prescribers. In practice, healthcare professionals could use a website with guidance for prescribing almost 300 medicines (www. etf djubo woo iipdnm jkb rvmw xowab wtsqll eyeplx wop